| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $440.17 | $440.17 | $440.17 |
Aetna
| Professional | QX | $199.07 | $199.07 | $249.89 |
Highmark BCBS
| Professional | QX | $376.24 | $434.47 | $824.41 |
Highmark BCBS
| Professional | QZ | $317.87 | $317.87 | $317.87 |